Pearlmed DPC LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEARLMED DPC LLC

Practice address

2795 Enterprise Ave Ste 5
Billings, MT 59102-7479

Phone

(406) 702-1111

Fax

(406) 321-5029

NPI assigned

Apr 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Wagenaar, MDNPI 1841287570

Title

Owner

Phone

(406) 707-1111

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert S Wagenaar, MD

  • Family Medicine Physician
  • Billings, MT
  • NPI 1841287570
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1649025388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 ENTERPRISE AVE STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027479",
            "telephone_number": "406-702-1111",
            "fax_number": "406-321-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 ENTERPRISE AVE STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027479",
            "telephone_number": "406-702-1111",
            "fax_number": "406-321-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLMED DPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "WAGENAAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-707-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Beth Peabody Brown, CNM
• Peach Tree Academy
• James H. Peak, MD
• Peaks and Valleys Counseling
• Emily Pearlman, MD
• Andrew John Pearson, OT
• Chase Dee Pearson
• Karen E Pearson, LCPC
• Randal W. Pearson, PAC
• Richard Pechtol, R.PH.

• Family Medicine Physician in Billings, MT
• Providers in Billings, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.